| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.89 | $637.50 | $4,933.00 | |
BCBS
| Facility | $2,714.53 | $3,186.06 | $4,316.60 | |
Health Alliance Plan
| Facility | $495.85 | $648.97 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |